本研究主要從居家服務員的觀點，探究現行長照制度下原住民部落居家服務員的工作困境與因應工作壓力的策略為何？為此，本研究採訪談法針對南投縣信義鄉7位部落居家服務員進行質性資料的蒐集與分析。
本研究結果可分成三項說明：（一）原鄉照顧需求殷切，但在地照顧資源卻有限，當中討論照顧服務員願意從事照顧服務工作的原因可能有幾項，包括：可照顧自家長輩、具照顧服務經驗、能有經濟收入、考量部落在地服務及親朋好友鼓勵等。在服務過程，居服員積極參加訓練提升照顧技巧，且對薪資和獎勵也表示肯定，但也面臨一些難題，包含：服務使用者不清楚照顧工作而要求過多的服務、族群屬性差異影響居服工作、年輕人不願屈就居服工作等。（二）居服員在溝通、族語及照顧技巧等專業能力獲得族人信任，且在地人服務長者終究能得到族人認同。不過，原鄉陡峭地理環境讓居服員處於高風險，至今仍難克服。（三）居服員在服務過程的壓力，包括：長者與家屬對居服制度認識不足而苛求業外服務、遭受語言或肢體暴力及新案家質疑專業等。凡此，常導致居服員身心俱疲，而居服員常尋求督導、親人、朋友的情緒支持，有時有透過聽音樂、看電視及唱歌抒解身心壓力。
依此，本研究建議分兩項說明：（一）政策面的改善：1.強化居服業務的宣導、2.增加專業培訓機會、3.加碼獎勵制度、4.建構完善職場安全、5.重視及傾聽一線人員的聲音、6.提升居服工作的專業地位、7.培植部落長照組織。（二）實務面的改善：1.長照組織應協助居服員舒緩壓力和提供職場願景、2.增進居服員的多元文化能力、3.強化在地人服務在地人之文化安全的優勢、4.職訓納入族語培力課程。

The research explores the home attendants’ working difficulties and coping strategies in the indigenous tribe under the current long-term care system. By adopting qualitative approach, interview data were collected from 7 home attendants who provided home services in the tribes in Xinyi Township, Nantou County.
The research results can be concluded as below: 1. The care needs in the indigenous area are great, but the local care resources are limited. As for as the reasons why these home attendants were willing to engage in care services are concerned, they might include: being able to take care of their parents, possessing experiences in care services, having financial income, considering the service needs of local tribes, being encouraged by their relatives and friends, etc. In the service process, these home attendants actively participated in training to improve their care skills; they were also satisfied with the salary and rewards. However, the home attendants had to face several difficulties such as their service users might ask for too much, the ethnical cultural differences could affect home service offer, and the youth were unwilling to take home service work. 2. The home attendants earned the trust of their tribal people because they communicated well, spoke indigenous language, and had good care skills. It could be said that the indigenous people took care of the tribal elders could be eventually recognized in the tribe. Nevertheless, the geographical environment in the indigenous area where put the home attendants at a high risk was still difficult to overcome. 3. When providing services, the home attendants might face the stress including: the service users and the families demanded extra services, the attendants could suffer verbal or physical violence, and the new service users would criticize their profession. Thus these home attendants often had physical and mental exhaustion and they needed to seek emotional support from the supervisors, relatives, and friends. They also relieved physical and mental stress by listening to music, watching TV, and singing.
Based on these research findings, several suggestions are provided: 1. In terms of the policy, the research suggests: 1) the public campaign of home services in the tribe should be promoted; 2) increasing professional home service training opportunities; 3) improving the reward system; 4) enhancing the workplace safety; 5) paying attention to the opinions of the home attendants; 6) improving the professional status of home service work; and 7) training and empowering the tribal organizations so that they can provide long-term care services locally. 2. In terms of the practice, the research suggests: 1) the long-term care organization should not only assist the home attendants to relieve stress but also make them establish career vision; 2) improving the multicultural competences of the home attendants; 3) emphasizing the advantages that the indigenous people provide care services to the tribal elders; and 4) the home service training program should include the indigenous language curse.